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DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
NPI 1235546813
Dentist - Oral and Maxillofacial Surgery in Beckley, WV

Active since July 16, 2014
150 BROOKSHIRE LN, BECKLEY, WV 25801(304) 345-1092(304) 345-5080 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2025, Dec 3, 2020, Jun 15, 2018 and 1 more (4 updates tracked since 2016).

About Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC (NPI 1235546813) is a healthcare organization registered as an oral and maxillofacial surgery in Beckley, West Virginia and active in the NPI registry since July 2014. The organization lists Lesley Marie Coyner, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1235546813
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
Location Address150 BROOKSHIRE LNBeckley, WV 25801
Mailing Address103 Station Place WayHurricane, WV 25526-8747 · (304) 720-7819 · Fax (304) 345-5080
Phone(304) 345-1092
Fax(304) 345-5080
Organization SubpartNo
Authorized OfficialLesley Marie CoynerCredentialing · (304) 345-1092
Enumeration DateJuly 16, 2014
Last NPPES UpdateMay 29, 20254 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1235546813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
150 BROOKSHIRE LN, Beckley, WV 25801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH M. DUDA
Clinic/Center (Oral and Maxillofacial Surgery)
150 BROOKSHIRE LN
BECKLEY, WV 25801
Raleigh County (304) 255-1411
DR. JOSEPH MATTHEW DUDA DMD
Dentist (Oral and Maxillofacial Surgery)
150 BROOKSHIRE LN
BECKLEY, WV 25801
Raleigh County (304) 255-1411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc's NPI number?

The NPI number for Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc is 1235546813. It was assigned to this organization in the NPPES registry on July 16, 2014.

Where is Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc located?

Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc is located at 150 Brookshire Ln, Beckley, WV 25801. The listed phone number is (304) 345-1092.

What is Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.